Get moving to the rhythm of life. Your destination for comprehensive orthopedic care.

Alamo Orthopedics

When you see our orthopedic team to treat your injury, you will receive compassionate, skilled care. Our multidisciplinary team approach ensures a comprehensive approach, beginning at diagnosis through recovery and rehabilitation. We educate our patients about their conditions, create plans for care, and provide treatments with the goal of getting them back to playing their sport or participating in their regular daily activities.

Whether the source of your pain is an old injury, a new injury, due to illness, or nagging joint problems –you can count on our orthopedic team to provide options to help your body move better.

Signs you may need to consider reaching out for orthopedic help include:

  • Difficulty using a particular body part to perform daily functions
  • Pain in muscles, tendons or joints that lasts for more than a few days
  • Joint pain that gets more intense during periods of rest
  • Swelling or bruising around the joint or the location of an injury
  • Limited range of motion, such as an inability to straighten the back
  • Joint deformity
  • Signs of infection including heat, inflammation, fever and/or redness

Services and Treatments

  • Arthroscopic Surgery
  • Back and Neck Pain Management
  • Digital Imaging
  • Foot and Ankle Surgery
  • Fracture Care
  • Hand, Wrist, and Elbow Surgery
  • Joint Preservation
  • Joint Replacement
  • Orthopedic Trauma
  • Osteoporosis Intervention
  • Shoulder Surgery
  • Sports Medicine
  • Worker’s Compensation


Alamo Orthopedics
10010 Rogers Crossing
San Antonio, TX 78251


Board Certified in Physical Medicine and Rehabilitation

Dr. Hooker practices outpatient Physical Medicine & Rehabilitation, with a focus on Interventional Pain Management. He performs a variety of diagnostic and therapeutic procedures, including epidural and peripheral joint steroid injections, facet and medial branch nerve blocks, and electromyography/nerve conduction studies (EMG/NCS).

Board Certified in Podiatric Medicine
Fellowship Trained in Foot and Ankle Surgery

Dr. Karulak provides a full range of foot and ankle medical and surgical services to include flatfoot reconstruction, bunions and hammertoe correction, fracture care, heel pain, treatment of foot and ankle arthritis including joint replacement, sports injuries including tendinopathy, ankle fractures and severe sprains and the management of chronic foot deformities to name a few.

Board Eligible Orthopedic Surgeon
Fellowship Trained in Orthopedic Sports Medicine

Dr. Kreines provides a full range of orthopedic services including hip, knee, and shoulder arthroscopy and replacement surgery, adult and pediatric sports medicine, cartilage transplantation/joint preservation surgery, geriatric fracture.
Board Certified Orthopedic Surgeon
Fellowship Trained in Hand Surgery

Dr. Tuder specializes in a full range of hand, wrist, elbow and shoulder orthopedic services in pediatric and adult patients. Areas of interest include joint replacement surgery (wrist, elbow and shoulder), treatment of nerve injuries, tendon injuries, soft tissue conditions and fractures to name a few.
Certified Family Nurse Practitioner

Certified Family Nurse Practitioner Warmath brings advanced medical credentials to Alamo Orthopedics. After earning a doctor of chiropractic medicine degree, he then pursued nursing, earning both bachelor’s and master’s degrees. While earning his master’s in nursing, he also worked in the surgical ICU of acute care hospitals. FNP-C Warmath engages with a broad range of patients of Alamo Orthopedics.